Active NPI
Marcia Philopena Kennedy, RPH
- Pharmacist
- Johns Island, SC
National Provider Identifier
1578875720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4482
- Practice address
- 130 Gardners Cir
Suite 122
Johns Island, SC 29455-5467 - Phone
- (843) 795-7976
- Fax
- (843) 795-4336
- NPI assigned
- Jul 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4482 | SC | Primary |
Addresses
Primary practice location
130 Gardners Cir
Suite 122
Johns Island, SC 29455-5467
Mailing address
130 Gardners Cir
Suite 122
Johns Island, SC 29455-5467
Phone (843) 795-7976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4482 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1578875720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 GARDNERS CIR",
"address_2": "SUITE 122",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294555467",
"telephone_number": "843-795-7976",
"fax_number": "843-795-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 GARDNERS CIR",
"address_2": "SUITE 122",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294555467",
"telephone_number": "843-795-7976",
"fax_number": "843-795-4336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "MARCIA",
"middle_name": "PHILOPENA",
"name_prefix": "Miss",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-03",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "4482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johns Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.